Individual
SHARAE RICHELLE VICKNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8676 GOODWOOD BLVD STE 105, BATON ROUGE, LA 70806-7914
(225) 636-5817
Mailing address
8676 GOODWOOD BLVD STE 105, BATON ROUGE, LA 70806-7914
(225) 636-5817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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